NPI 1245746114

Gereron Jerald Daw, MT

Practitioner Medical Technologist Kayenta, AZ

Practice location

Address: 394.3 Highway 160, Kayenta, AZ 86033
Phone: (928) 697-4140
Fax: (928) 697-4142
Mailing address: PO Box 368, Kayenta, AZ 86033-0368

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 213216

Other Specialist/Technologist, Pathology providers in Arizona →

Registry record

NPI: 1245746114
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2017
Record last updated: 14 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.